ATI RN
Pharmacology and the Nursing Process 9th Edition Test Bank Questions
Question 1 of 5
A woman sees her primary care provider because of extreme fatigue for the past 2 months; she difficulty lifting even light objects. Her physician suspects myasthenia gravis. Which of the ff. tests should the nurse anticipate to confirm this diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Tensilon test. The Tensilon test involves administering edrophonium (Tensilon) to temporarily improve muscle weakness in myasthenia gravis patients, confirming the diagnosis. Other choices are incorrect: A (Mestinon test) is not a standard diagnostic test for myasthenia gravis, B (Pulmonary function studies) are not specific for myasthenia gravis, and C (Quinine tolerance test) is not a relevant test for this condition.
Question 2 of 5
Correct method of mouth to mouth respiration is that the victim’s chin is held:
Correct Answer: D
Rationale: The correct answer is D (Downward) because it helps to maintain a clear airway for effective mouth-to-mouth respiration. By holding the victim's chin downward, you can ensure proper alignment of the airway, allowing the tongue to fall forward and prevent obstruction. Holding the chin forward (Choice A) may cause the airway to close, holding it backward (Choice B) may strain the neck, and holding it sideward (Choice C) may not provide optimal airway alignment. Holding the chin downward is the most effective and safe method for providing mouth-to-mouth respiration.
Question 3 of 5
A pregnant client with hypertension and cardiac dysrhythmias is admitted to the hospital. Which of the following imbalances should the nurse check for?
Correct Answer: C
Rationale: The correct answer is C: Hypomagnesemia. 1. Hypertension and cardiac dysrhythmias can be exacerbated by low magnesium levels. 2. Magnesium plays a crucial role in maintaining normal heart rhythm and blood pressure. 3. Hypomagnesemia can lead to cardiac arrhythmias and worsen hypertension. 4. Metabolic acidosis (A) is not directly related to hypertension and dysrhythmias. 5. Hypernatremia (B) and hypercalcemia (D) are less likely to be associated with cardiac issues in this context. In summary, checking for hypomagnesemia is essential due to its direct impact on the client's hypertension and cardiac dysrhythmias.
Question 4 of 5
Which of the ff. statements, if made by a patient with hypertension, indicates to a nurse a need for more teaching?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Statement C indicates a misunderstanding that medication can be stopped when feeling better, which is incorrect. 2. Hypertension is a chronic condition that often requires lifelong medication. 3. This demonstrates a lack of understanding regarding the necessity of long-term management. 4. Statements A, B, and D show knowledge about hypertension's effects, dietary management, and awareness, respectively. Summary: Statement C is incorrect as it suggests stopping medication, while statements A, B, and D show accurate understanding of hypertension.
Question 5 of 5
The nurse has entered a client’s room to find the client diaphoretic (sweat-covered) and shivering, inferring that the client has a fever. How should the nurse best follow up this cue and inference?
Correct Answer: A
Rationale: Step 1: Assess the client's vital signs to confirm presence of fever. Step 2: Measure client's oral temperature to obtain accurate reading. Step 3: Document temperature and report findings to healthcare provider. Step 4: Initiate appropriate interventions based on temperature reading. Step 5: Reassess client's condition to evaluate effectiveness of interventions. Summary: Option A is correct as it directly addresses the cue of fever by confirming the temperature. Options B, C, and D are incorrect as they do not directly address the need to assess the client's temperature for accurate evaluation and intervention.
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